Individual provider Active NPI

Jeremy J Janssen, M.D.

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1255414371
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0057305 Issued in MD
Practice address
7 Granite Place
Suite 14
Gaithersburg, MD 20878-6607
Phone
(240) 631-1170
Fax
(240) 631-1031
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0057305 MD Primary

Addresses

Primary practice location

7 Granite Place
Suite 14
Gaithersburg, MD 20878-6607

Mailing address

7 Granite Place
Suite 14
Gaithersburg, MD 20878-6607
Phone (240) 631-1170

Other identifiers 1

IdentifierTypeStateIssuer
807801700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000024 DC Practitioner - Family Practice 1355414608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7 Granite PL
Suite 14
Gaithersburg, MD 20878-6607
Phone (240) 631-1170

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0057305MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy J. Janssen, M.D., P.C. Family Medicine CurrentSince Apr 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7 Granite Pl
Ste 14
Gaithersburg, MD 20878
Phone (240) 631-1170

Interoperability endpoints

  • Direct secure messaging: jeremy.janssen@jjfm.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1255414371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRANITE PLACE",
            "address_2": "SUITE 14",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786607",
            "telephone_number": "240-631-1170",
            "fax_number": "240-631-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GRANITE PLACE",
            "address_2": "SUITE 14",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786607",
            "telephone_number": "240-631-1170",
            "fax_number": "240-631-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "JEREMY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0057305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807801700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.